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WASHINGTON HEALTH AND DRUG
CAH171365-00 HANOVER HOSPITAL
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Covered Entity Details
Entity Name
HANOVER HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH171365-00
Entity Address
205 S. HANOVER
HANOVER, KS 66945
Medicare Provider Number
171365
Participating Start Date
10/1/2017
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WASHINGTON HEALTH AND DRUG
Pharmacy Address
227 C ST
WASHINGTON, KS 66968
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brittni Oehmke, Administrator
(785) 337-2214 Ext: 1017
Contract Pharmacy Representative
Washington Healthmart
Dustin Rogge, Owner
(785) 325-3130
Signed By Date
4/15/2019
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